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Comprehensive Tyip Log Number Load Information Fac�jl.jty TireProgram I D Site Suff ix <br /> 4 712 31.3 -- Pick lap ❑ DeliveryIDE p UH <br /> Facility Telephone Number <br /> OD Ha uler Tire Program 1® / Site Suffix DATE ® � / <br /> e u�Whole Tire Count ❑ Weight In Lbs. [r <br /> 1 I <br /> m6. <br /> � Volume Cubic Yds. Weight in TonsA. <br /> '' fie Po�I <br /> 0 <br /> .r <br /> T� <br /> ss San 5 H� <br /> itaul�r Tciei3l�z,n� �s tib Tt <br /> " 5 <br /> Ar <br /> (KLA Tar I�CAfY51F3TA1R� T('r- � <br /> WhOlelnreSJ yp0YE 51NL[ANOCORR£Cl' <br /> l INFORMAAOSP7 OD _. <br /> - - <br /> - - - <br /> CC- <br /> rn <br /> — <br /> By initialing this Comprehensive Trip Log (CTL) receipt, the signer(s) requests that i <br /> r information provided on this f6irn.will be.considered confidential,proprietary and/ or a <br /> trade secret. in accordance with Title 14, CCR, Section 11041:e[. Seq., if a request is <br /> made for disclosure.of this information, CalRecycle will contact the-signer(s) of this <br /> fond at the address and telephone number on this receipt. <br /> <„ s' <br /> T <br /> - o <br /> L2 <br /> o - <br /> C <br /> K <br />